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Safety Incidents OSHA Severe Injury Reports · 2015–2025

INDEPENDENCE, MO —

OSHA Injury Report: 0373 INDEPENDENCE MO WHSE

Injury · Days away from work

At a glance

On , an injury at 0373 INDEPENDENCE MO WHSE in 19040 E VALLEY VIEW PKWY, INDEPENDENCE, MO 64055 resulted in days away from work. Employee was fOOD SERVICE in wholesale Grocer.

Where did this happen?

Establishment
0373 INDEPENDENCE MO WHSE
Parent company
COSTCO WHOLESALE
Street
19040 E VALLEY VIEW PKWY
City
INDEPENDENCE
State
MO
ZIP
64055
On-site location
FOOD COURT

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
1
Days restricted or transferred
2

Before the incident

Cleaning the smoothie machine

What happened

Turned around to help member stepped into open drain and fell

Injury or illness

Strain Sprain Knee Right Side

Object or substance involved

Floor Walking Surface

Summary line

Strain Sprain Knee Right Side Fall on uneven surface Floor Walking Surface

Employee and industry

Job description
FOOD SERVICE
SOC code
9999 — Uncoded
NAICS code
455211 — Wholesale Grocer
NAICS vintage
2022
Avg employees
319
Total hours worked
457403
EIN
911223280
Establishment ID
1378468
Employer case #
WC413G4121

When (timing detail)

Date of incident
Shift started
14:00
Time of incident
20:26
Filing year
2024
Submitted
28FEB2025:21:41:00

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Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.